Individual
DR. WARREN BLAKE LOCKETT PYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9455 W GLENDALE AVE, GLENDALE, AZ 85305-2572
(480) 485-7436
Mailing address
302 W MONTEZUMA AVE, CORTEZ, CO 81321-2750
(970) 459-1314
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204794
CO
1223G0001X
General Practice Dentistry
T-DEN.00000046
CO
Other
Enumeration date
06/22/2020
Last updated
04/03/2024
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